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Family Medical Supply LLC — NPI 1003911942, Shallotte, NC | NPI Central

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NPI 1003911942

OrganizationActive

Family Medical Supply LLC

NPI 1003911942 · Oxygen Equipment & Supplies (DME) · Shallotte, NC

Provider details

NPI number: 1003911942
Entity type: Organization
Primary specialty: Oxygen Equipment & Supplies (DME)Suppliers
Organization subpart: No
Authorized official: Wendy Russalesi, Cco(484) 246-9499

Specialties & taxonomies

Oxygen Equipment & Supplies (DME)Primary332BX2000XLicense 00906 (NC)
Suppliers
Parenteral & Enteral Nutrition Supplies (DME)332BP3500X
Suppliers
Customized Equipment (DME)332BC3200X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

4600 Main St Ste 12

Shallotte, NC 28470-1899

Phone: (910) 755-7066

Fax: (910) 755-7068

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

555 E North Ln Ste 5075

Conshohocken, PA 19428-2490

Registry dates

Enumerated: 2006-09-14
Last updated: 2025-10-13
Certified: 2025-10-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.